10733 1206 RUPPEL PLACE
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-----6- Z-�� .. ..._.. ......._ 19.& Permit No........... ..7�J-- ----------------
The undersigned hereby makes application to the Plumb
fg Inspector of the City of San Jose
for a permit to install the meo+i I' r e e /q
Exemption from req uirarr�wf of �r iQctor's License is hereby claimed
by undersigned: as o4ner ❑ statement filed [�--c
Undersigned attests that his State of Californ'' Contractor's License #-,-27H 6 7
is in full force and effect and properly authefr+�sf plic 'o r/
San Jose City Business License #k �!� r gX
1 certify that in the performance of the work for which this permit I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER / 1��✓+ I �p
ADDRESS �"� (° /\ *�peE I �• Lot No. 2-1
USE OF 'BUILDING e y
( 7 Signed---. .. 1�- %......-S.h .------ -
...--- -------
"'I2099NUPPEL PLACE PARKER SHEET METATr
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